An 84-year-old female presenting with proptosis and hyperviscosity syndrome
was found to have Waldenstrom macroglobulinemia. Karyotypic analysis showe
d structural chromosomal abnormalities involving both homologous chromosome
s 6 with a deleted 6q at q21-q23 and a complex three-break rearrangement in
the t(6;13;21)?(q21;q14;q11). A literature review suggests that deletions
of chromosome 6 at 6q21 are associated with lymphoplasmacytoid differentiat
ion and IgM production in B-cell chronic lymphoproliferative disorders. (C)
2001 Elsevier Science Inc. All rights reserved.